ALEXANDER IGOLNIKOV Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

ALEXANDER

Last Name

IGOLNIKOV

Business Name

ALEXANDER IGOLNIKOV

Original Issue Date

08/15/2006

Effective Date

10/02/2025

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/02/2025